Manager, HME Revenue Cycle & Financial Analyst

Medcare Equipment Company LLC•Hempfield Township, PA

About The Position

The HME Revenue Cycle Manager/Financial Analyst oversees revenue cycle operations for a Home Medical Equipment (HME) organization, focusing on accurate reimbursement, cash collections, denial reduction, and financial analysis to support strategic and operational decisions. The role connects revenue cycle management and reimbursement optimization with financial reporting, budgeting, and business analytics to improve profitability, cash flow, and operational performance. The position leads revenue cycle processes from intake and insurance verification through authorization, billing, collections, cash posting, and accounts receivable management. It monitors performance metrics, manages denial-reduction efforts, develops workflows and standard operating procedures, oversees payer audits and documentation reviews, and coordinates with cross-functional teams to support clean claims and timely payment. The role also prepares financial and operational reports, analyzes revenue and profitability across products, referral sources, service lines, payers, and branches, develops financial and forecasting models, monitors budgets, and supports annual budgeting and strategic planning. It develops dashboards and KPIs, analyzes billing and reimbursement trends, and presents actionable recommendations to leadership. The position leads and develops revenue cycle staff, sets departmental goals and performance standards, and promotes accountability, continuous improvement, and customer service excellence.

Requirements

Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.
Five or more years of progressive revenue cycle leadership experience.
Three or more years of financial analysis, budgeting, or healthcare finance experience.
Strong understanding of HME/DME reimbursement and billing regulations.
Experience billing Medicare, Medicaid, Managed Care, and commercial insurance.
Advanced Excel skills, including pivot tables, complex formulas, and financial modeling.
Strong analytical and problem-solving capabilities.
Knowledge of HME reimbursement methodologies.
Experience creating executive-level dashboards and financial reports.
Understanding of healthcare compliance and regulatory requirements.
Strong communication and presentation skills.
Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

MBA, CPA, HFMA, or equivalent certification.
Experience with Brightree or comparable HME software.

Responsibilities

Direct revenue cycle operations, including intake, insurance verification, authorization, billing, collections, cash posting, and accounts receivable management.
Ensure compliance with Medicare, Medicaid, commercial payer, and accreditation requirements.
Monitor revenue cycle metrics, including DSO, net collection rate, denial rate, first-pass claim acceptance rate, aging accounts receivable, and write-offs and adjustments.
Lead denial management initiatives and implement corrective actions to improve reimbursement.
Develop workflows and standard operating procedures to improve billing accuracy and collection performance.
Manage payer audits, RAC requests, ADRs, and documentation reviews.
Collaborate with Intake, Clinical, Sales, Compliance, and Operations teams to support clean claim submission and timely payment.
Oversee monthly revenue cycle performance reviews and reporting.
Prepare monthly financial and operational reports for executive leadership.
Analyze revenue, gross margin, reimbursement trends, and profitability by product category, referral source, service line, payer, and branch location.
Develop financial models to assess business opportunities, reimbursement changes, and operational initiatives.
Monitor budget performance and identify cost-reduction and revenue-enhancement opportunities.
Perform variance analysis between budget, forecast, and actual financial performance.
Create forecasts for revenue, cash flow, reimbursement, and accounts receivable.
Support annual budgeting and strategic planning.
Develop dashboards and KPIs to monitor financial and operational performance.
Analyze billing trends, referral conversion rates, payer utilization, and reimbursement patterns.
Identify opportunities to improve revenue capture, billing efficiency, collection performance, referral retention, and operational productivity.
Use reporting tools and software platforms such as Brightree, Parachute, Power BI, Excel, Tableau, or equivalent tools.
Present actionable recommendations to leadership based on data analysis.
Lead, mentor, and develop billing, collections, and revenue cycle staff.
Establish departmental goals and performance standards.
Ensure cross-functional collaboration among Revenue Cycle, Finance, Operations, Purchasing, and Customer Service teams.
Promote accountability, continuous improvement, and customer service excellence.